Another Place at the Table by Kathy Harrison

Results Of the 455 patients assigned to early tracheostomy, 91.9% (95% CI, 89.0%-94.1%) received a tracheostomy and of 454 assigned to late tracheostomy, 44.9% (95% CI, 40.4%-49.5%) received a tracheostomy. Main Outcomes and Measures The primary outcome measure was 30-day mortality and the analysis was by intention to treat. Interventions Patients were randomized 1:1 to early tracheostomy (within 4 days) or late tracheostomy (after 10 days if still indicated). Participants Of 1032 eligible patients, 909 adult patients breathing with the aid of mechanical ventilation for less than 4 days and identified by the treating physician as likely to require at least 7 more days of mechanical ventilation.

Objective To test whether early vs late tracheostomy would be associated with lower mortality in adult patients requiring mechanical ventilation in critical care units.ĭesign and Setting An open multicentered randomized clinical trial conducted between 20 involving 70 adult general and 2 cardiothoracic critical care units in 13 university and 59 nonuniversity hospitals in the United Kingdom. There is little evidence to guide clinicians regarding the optimal timing for this procedure. Importance Tracheostomy is a widely used intervention in adult critical care units.

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Another Place at the Table by Kathy Harrison